Laserfiche WebLink
APPLICATIVN FOR CONSTRUC110t� PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREEf• EVERETT,Wq ggpp� . (425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMHING ❑ SIGN <br /> PROJECT ADDRFSS: O Z/ /S� /-�ve .5 F ,G'vwG�L <br /> OWNER I r'Gr� j�ai'IP y �092� /sfj�✓( S� t/C�'2 !A/ /�20�' <br /> MSI�ADpqE55 Cltt 2P PHONE <br /> TENANT M�II�DDRE55 <br /> ��TY llP pNONE <br /> �/UC I� . ,1� 5 <br /> �RCHrtf.CT OR DESIGNER M I��DORE55 GITY tm PHO F <br /> �1�./ke �ti ��.�d H� /��10�" ./2r�-r,�Ce� ,�df-�/��t//� � �0 <br /> GFNEMIGONTMCTIXi MMIADDAE55 ��Jy l�� I <br /> Pi1p4E �/GIAICIICCNSE� O VN <br /> / <br /> MFCHINIL�LCONiii4CTOF M4�AODRES$ ��ry 21r <br /> PIIONE ST�iF II�ENSE• <br /> PIUMBING�CONIRI�TOR M�ILAOpRF55 LITY IIP <br /> �nSOL' PHONE ST�IELIGENSFi <br /> CONip�Ci PR�CE OF WORl. / _ <br /> HEATING SYSTEM: AS ❑ ELECTRIC ❑ <br /> DES RIBE ORK�N 5 /pEFppTAGEINVOI CONT CiPfR50Ne nl�p NEN / <br /> ��� 2Yls o!-la.vtso-v� on r <br /> /P.ylor/P . Ca,r�r� 06 - $d <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Pp�seo use ov eo oiN; AFPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> UI'� PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ieeuoe RIPTIONOFPq��q7y�51qWNBEIOWOR�TTACNTWOCORE51 WORK WILI BE COMPLIED WITH WHE7HER SPECIFIED HEREiN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �oT e�a/jn or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> Y S A!/U • p OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> 1 D I K ODL� —QQO PERFOqMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> LJ( z v OWNEq OF THIS PROPERTY TO PERFORM THE 'r�ORK FOR WHICH <br /> APPLICAT�ON IS MADE AND I COMP Y WITH THE STATE <br /> PAALFL TNf 1 D NUMBER CCINTRAC�0 'LAW 1827 RCW 2 �AC. <br /> �? �/S U�o D 2f� pOC� <br /> CONSTRIILTIqJ IOAN LENpQp,I�pjqE55.TELEPNONE NUMBER �"/�` � � 9 Zj �7 <br /> x <br /> -- 51G U DAfE <br /> � LITYBUSINESSIICENS p <br /> • ' PLUMBING MECHANICAI <br /> ( NO• YPE OF FlXTURE OR ITEM FEE NO. OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/FINDLG JNfTS <br /> BATHTUB ; FORCEDAIRSVSTEMS <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS � <br /> KITCHEN SINK d DISP CLOTHES DRVERS � <br /> DISHWASHER � RANGEHOUD � <br /> LAUNDRY TRAV ' WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL � METAL FIREPLACE hY00�BURNING) <br /> DRINKING FOUNTAIN FIREFLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN � GAS FIREPLACE <br /> BACKFLOW PREVENTERS ; GASRANGE — <br /> SINK�SERVICE—BAq,ETC.) GAS PIPING <br /> � E%HAUSTFAN <br /> i � <br /> i � <br /> � <br /> _ i <br /> SUBTOTAL E ' SUBTOTA! S � <br /> rERMIT f � PERMI7 E <br /> TOTAIFEE S TOTALFEE E � <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTP�CR r/ RE�RSFTB�C/�� S�DESEfB�CK� P�ANCIIECKNpMfl[R fEF O� nFCFmTNO <br /> L' S ��S�o <br /> — <br /> use 1oNp l01�RE� VeC�Nf SITE FEES AIUATION FEE <br /> ❑vE5 ❑ NO — ---T— <br /> � 9UIl DIN. � <br /> NEIGNII�MIUi;ON / jjOIf�UWELLING SqEO�BIDGRI — <br /> % 2gg S.F, �IUMqMG <br /> OCCII{+�NCV 1YJ G�$IPniFS O(:CUP�NI�p1D BASFMENI —T— <br /> C.R UP / MFf,11nN1U1 <br /> ❑YES �NO — — ____ <br /> FIRESPRINKIERREO'D �F�SON A�DIIIpNq.PIRNC�RCK <br /> ���___ <br /> on�=_n <br /> FIR[AIARMP[O'� RFASqV <br /> SIqC 13111�UMC$IIf1C114qOC ����� <br /> rvre or r,or+sr rtnNsanrnovEn av CITY OF EVEHETT runuc wones <br /> � LOCALSALES — —_ _ ._ __�__ <br /> nnrE 23 97 TAX CODE IS 3105 707AL <br />